sinai urban health institute program overviews_10 … · sinai urban health institute (suhi) is a...

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CURRENT INITIATIVES Sinai Community Health Survey Adult and Pediatric Asthma Breast Cancer Outreach and Navigation Community Health Needs Assessments Community Health Worker Model Diabetes Health Disparities Research Program Evaluation Public Health Education Sinai Urban Health Institute OUR VISION To serve as a leading urban health research institute for eliminating health disparities and working toward health equity OUR MISSION To develop and implement effective approaches to improve the health of urban communities through data-driven research, interventions, evaluation, and community engagement HIGHLIGHTS SUHI has gained national recognition for its unique implementation of the Community Health Worker model, particularly for its effectiveness combating pediatric asthma and improving access to breast cancer screenings. In addition, SUHI is currently in the field completing the second round of the Sinai Community Health Survey. This will be the largest door-to-door health survey in Chicago history, surveying 4,500 individuals in 10 Chicago community areas. The survey questionnaire includes over 600 questions on a vast range of health topics. SUHI TEAM Since its founding in 2000, SUHI has grown from a staff of three to a dynamic collaborative of over 40 epidemiologists, project managers, research assistants, and community health workers. SUHI greatly benefits from its diversity of insights and academic and professional training in service of Sinai Health System’s pledge of “Making lives better.” LEARN MORE Email: [email protected] Websites: www.suhichicago.org | www.sinai.org Sinai Urban Health Institute (SUHI) is a unique, nationally-recognized research center on the West Side of Chicago. The community-focused research and interventions at SUHI are concentrated on matters of health equity, using rigorous, evidence-based approaches to understand and address health disparities in some of Chicago’s most underserved and disadvantaged communities. SUHI is a proud member of Sinai Health System.

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Page 1: Sinai Urban Health Institute Program Overviews_10 … · Sinai Urban Health Institute (SUHI) is a unique, nationally-recognized research center on the West Side of Chicago. The community-focused

CURRENT INITIATIVES

Sinai Community Health Survey

Adult and Pediatric Asthma

Breast Cancer Outreach and Navigation

Community Health Needs Assessments

Community Health Worker Model

Diabetes

Health Disparities Research

Program Evaluation

Public Health Education

Sinai Urban Health Institute

OUR VISION

To serve as a leading urban health research

institute for eliminating health disparities

and working toward health equity

OUR MISSION

To develop and implement effective

approaches to improve the health of urban

communities through data-driven research,

interventions, evaluation, and community

engagement

HIGHLIGHTS

SUHI has gained national recognition for its unique implementation of the Community Health

Worker model, particularly for its effectiveness combating pediatric asthma and improving access

to breast cancer screenings. In addition, SUHI is currently in the field completing the second round

of the Sinai Community Health Survey. This will be the largest door-to-door health survey in

Chicago history, surveying 4,500 individuals in 10 Chicago community areas. The survey

questionnaire includes over 600 questions on a vast range of health topics.

SUHI TEAM Since its founding in 2000, SUHI has grown from a staff of three to a dynamic collaborative of over

40 epidemiologists, project managers, research assistants, and community health workers. SUHI

greatly benefits from its diversity of insights and academic and professional training in service of

Sinai Health System’s pledge of “Making lives better.”

LEARN MORE

Email: [email protected]

Websites: www.suhichicago.org | www.sinai.org

Sinai Urban Health Institute (SUHI) is a unique, nationally-recognized research center on

the West Side of Chicago. The community-focused research and interventions at SUHI are

concentrated on matters of health equity, using rigorous, evidence-based approaches to

understand and address health disparities in some of Chicago’s most underserved and

disadvantaged communities. SUHI is a proud member of Sinai Health System.

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RESEARCH

Members of SUHI have published over 100 peer-reviewed articles, including original population-

based research, secondary data analyses, systematic literature reviews, and commentaries that have

appeared in journals such as the American Journal of Public Health, the Journal of General Internal

Medicine, and Health Affairs. SUHI researchers focus not only on identifying racial and ethnic health

disparities, but also on understanding the causes of those differences and translating findings into

action. Recently, SUHI published a series of articles highlighting racial disparities in specific causes of

death across the 77 Chicago community areas as well as the 50 biggest cities in the US.

TEACHING

SUHI regularly shares its expertise through the teaching of formal courses, workshops, grand

rounds, webinars, and presentations at national conferences. Topics range from descriptions of our

research findings to didactic lectures on research methodology, epidemiology, health disparities,

and intervention best practices.

FUNDING SOURCES FOR ACTIVE SUHI GRANTS

CONSULTING

SUHI also provides consulting services for organizations interested in the following practices:

Community Health Worker (CHW) Model: SUHI provides training and implementation assistance

for the CHW model, a dynamic, community-based approach to health promotion and education.

Evidence-based assistance is available for the hiring, training, supervision, and evaluation of

CHWs and related programs.

Program Evaluation and Capacity-Building: Based on 15 years of evaluation experience, SUHI

staff also provide training and consultation on program evaluation and capacity-building tools.

FUNDING

SUHI has received a wide variety of

grants from private foundations and

government entities to expand its

outreach efforts and scientific impact.

Over the past 15 years, SUHI has

brought more than $32 million in grant

funding to Sinai Health System. SUHI

also brings in revenue through

consulting and disease management

contracts. Contracts

24%

National

Foundations

25%

Local

Foundations

38%

Govt.

Agencies

13%

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SINAI URBAN HEALTH INSTITUTE

Asthma

BACKGROUND

Asthma affects the health and quality of life of millions of Americans every day, in addition to

exerting a heavy burden on the nation’s healthcare system. In Chicago, asthma rates are elevated

well above national averages, and the disease burden is felt disproportionately in minority and

disadvantaged communities.

SUHI’S ASTHMA PROGRAMS

Since 2000, SUHI has implemented a series of eight asthma interventions in seven communities,

including Austin, East Garfield Park, Humboldt Park, Near West Side, North Lawndale, South

Lawndale, and West Garfield Park. At the heart of SUHI’s asthma programming is the Community

Health Worker (CHW), a lay community member trained to deliver accurate, culturally-appropriate

health education to fellow community members on managing and controlling asthma symptoms.

The CHICAGO (Coordinated Healthcare Interventions for Childhood Asthma Gaps in

Outcomes) Plan: The CHICAGO Plan is a multicenter randomized controlled trial exploring

how health outcomes for Black and Latino children with uncontrolled asthma might best be

optimized. A key goal of the project is to understand how to best implement asthma care in the

emergency department. SUHI is currently serving as the CHW Coordinating Center for the

CHICAGO Plan by hiring, training, and supervising all of the CHWs across the six sites.

Asthma CarePartners (ACP): ACP is SUHI’s first asthma intervention for both publicly and

privately insured children and adults, and includes a long-term partnership with Family Health

Network, a Medicaid managed care organization. In this yearlong program, CHWs visit client

homes to provide education, hands-on demonstrations of proper medical device techniques,

and environmental home assessments.

Helping Chicago’s Westside Adults Breathe and Thrive: This is a home-based asthma and

healthy homes intervention aimed at improving asthma control and quality of life among adults

with poorly-controlled asthma. It is operated in partnership with the Metropolitan Tenants

Organization.

Consulting: Via the Sinai Asthma Education Training Institute (SAETI), SUHI provides asthma

training and consulting for organizations, their CHWs, and other healthcare staff. SUHI has

worked with several health care providers, including a yearlong consulting project with a large

Chicagoland healthcare system, to integrate CHWs into their asthma care plan.

LEARN MORE

Email: [email protected]

Websites: www.suhichicago.org | www.sinai.org

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SINAI URBAN HEALTH INSTITUTE

Asthma

Sinai Urban Health Institute (SUHI) is a unique, nationally-recognized research center on

the West Side of Chicago. The community-focused research and interventions at SUHI are

concentrated on matters of health equity, using rigorous, evidence-based approaches to

understand and address health disparities in some of Chicago’s most underserved and

disadvantaged communities. SUHI is a proud member of Sinai Health System.

SELECT PUBLICATIONS Erwin K, Martin MA, Flippin T et al. Methods and outcomes of engaging stakeholders to design a

comparative effectiveness trial in children with uncontrolled asthma. Journal of Comparative

Effectiveness Research. 2015. DOI: 10.2217/CER.15.52. (In Press)

Gutierrez Kapheim M, Ramsay J, Schwindt T, Hunt BR, Margellos-Anast H. Utilizing the Community Health

Worker Model to communicate strategies for asthma self-management and self-advocacy among

public housing residents. Journal of Communication in Healthcare 2015; 8(2): 95-105.

Margellos-Anast H, Gutierrez MA, Whitman S. Improving Asthma Management among African-American

Children via a Community Health Worker Model: Findings from a Chicago-Based Pilot

CURRENT FUNDERS

Department of Housing and Urban Development

Family Health Network

Patient-Centered Outcomes Research Institute

PROGRAM HIGHLIGHTS

Innovative usage of Community Health Workers creates a strong, positively reinforcing link

with patients, both children and adults, to reduce the exacerbation of asthma symptoms.

SUHI asthma programs have won prestigious awards from the American Hospital Association,

the Environmental Protection Agency, the Illinois Hospital Association, and the Utilization Review

Accreditation Commission.

As of 2014, Asthma CarePartners saw a 74% reduction in ED visits and a 71% decrease in

hospitalizations for clients who participated in the 12-month intervention.

Asthma CarePartners also documented dramatic improvements in participants’ levels of asthma

control and correct usage of asthma medication.

Helping Chicago’s Westside Adults Breathe and Thrive, an ongoing initiative, has shown a 60%

reduction in daytime symptoms, a 56% reduction in ED visits, and a 66% reduction in

hospitalizations for its participants through 2014.

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SINAI URBAN HEALTH INSTITUTE

Breast Cancer

BACKGROUND

Breast cancer is the most commonly diagnosed form of cancer and the second leading cause of

death among women. Like many diseases, the highest mortality and morbidity rates are seen

among racial and ethnic minorities and women from lower socioeconomic classes. Of particular

concern, SUHI has documented that Black women in Chicago are 48% more likely to die from breast

cancer compared to White women.

LEARN MORE

Email: [email protected]

Websites: www.suhichicago.org | www.sinai.org

SUHI’S BREAST CANCER PROGRAMS

SUHI has developed culturally-appropriate breast health promotion programming which focuses

on the reduction of common social, cultural, financial, and logistical barriers to screening. SUHI

uses Community Health Worker (CHW) and patient navigator models to navigate women through

breast cancer screening and care.

Helping Her Live (2007 — present)

Helping Her Live is an innovative breast cancer education and outreach program focused on

underserved women on Chicago's West and Southwest Sides.

CHWs assist women with navigating the healthcare system, obtaining routine breast cancer

screenings, and reducing delays in obtaining test results and additional follow-up.

Sinai Clinical Navigation (2005 — present)

The Clinical Navigation program, housed in the Radiology Department at Mount Sinai Hospital,

is led by two highly-trained lay patient navigators and focuses on patients with abnormal

mammogram findings.

Navigators assist women with the diagnostic process by providing assistance with scheduling

appointments, locating and requesting prior outside health records as needed, and providing

information on the next steps recommended by clinicians. Additionally, navigators provide

social support during times of uncertainty following an abnormal mammogram.

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SINAI URBAN HEALTH INSTITUTE

Breast Cancer

Sinai Urban Health Institute (SUHI) is a unique, nationally recognized research center on the

West Side of Chicago. The community-focused research and interventions at SUHI are

concentrated on matters of health equity, using rigorous, evidence-based approaches to

understand and address health disparities in some of Chicago’s most underserved and

disadvantaged communities. SUHI is a proud member of Sinai Health System.

CURRENT FUNDERS

Avon Foundation for Women

Lynn Sage Cancer Research Foundation

Telligen Community Initiative

Susan G. Komen Chicago

SELECT PUBLICATIONS

Hunt BR, Kanoon J, Allgood K, Benjamins MR. Keys to the Successful Implementation of Community- based Outreach and Navigation: Lessons from a Breast Health Navigation Program. Journal of Cancer Education 2015; September (E-pub). DOI 10.1007/s13187-015-0904-2.

Hunt BR, Allgood K, Sproles C, Whitman S. Metrics for the Systematic Evaluation of Community-

Based Outreach. Journal of Cancer Education 2013 28(4): 633-638.

Hunt BR, Whitman S, Hurlbert M. Increasing Black:White Disparities in Breast Cancer Mortality in

the 50 Largest Cities in the United States. Cancer Epidemiology 2014 Apr;38(2):118-23.

Ansell D, Grabler P, Whitman S, et al. A community effort to reduce the black/white breast cancer

mortality disparity in Chicago. Cancer Causes and Control 2009 Nov;20(9):1681-8.

PROGRAM HIGHLIGHTS

Helping Her Live staff has educated

over 15,000 women on the

importance of breast health.

Our Community Health Workers have

navigated over 3,000 women to

mammograms.

Navigators monitored over 91,000

mammograms, facilitated follow-up

for over 10,000 women, and assisted

over 300 women to obtain cancer

treatment.

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SINAI URBAN HEALTH INSTITUTE

Community Health Worker Model

BACKGROUND

Healthcare reform has called for systems change and attainment of the “triple aim”- better health,

better quality, and lower health care costs. One strategy recognized in the Affordable Care Act (ACA),

and progressively being discussed by medical providers and policy-makers, is the utilization of

Community Health Workers (CHWs) as valued members of healthcare teams. Community-based

interventions involving the CHW model are shown to be effective at enhancing service delivery

through more efficient, patient-centered care. The American Public Health Association defines a CHW

as “a frontline public health worker who is a trusted member of and/or has an unusually close

understanding of the community served.” Over the past decade, SUHI has become a national leader in

the implementation of the CHW model,

LEARN MORE

Email: [email protected]

Websites: www.suhichicago.org | www.sinai.org

SUHI’S COMMUNITY HEALTH WORKER MODEL

SUHI has amassed extensive experience utilizing CHWs to

deliver health education, conduct home assessments, and

assist clients in navigating our country’s complex health care

system. CHWs trained by SUHI play a vital role in the

implementation of sustainable, culturally-competent health

interventions designed to reduce health inequities, improve

health, and lower costs. SUHI’s renowned CHW model

focuses on embedding and empowering these dynamic

“resident health experts” and healthcare system stewards to

provide personalized, grounded education on effective

disease management strategies.

SUHI CONSULTING SERVICES

SUHI is increasingly called upon to help other organizations implement our CHW model, which has

been proven to be a cost-effective way to meet a wide variety of program objectives. We offer:

General CHW program development consultation, including assistance with implementing the

CHW model and integrating CHWs into health care systems.

Education and staff training on CHW Model Best Practices, including modules on cultural

competence, patient relationship-building, and continuous quality improvement

Training for CHWs to care for patients with specific conditions as well as high-risk populations,

including CHW core skills training and health condition specific trainings.

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Sinai Urban Health Institute (SUHI) is a unique, nationally recognized research center on

the west side of Chicago. The community-focused research and interventions at SUHI are

concentrated on matters of health equity, using rigorous, evidence-based approaches to

understand and address health disparities in some of Chicago’s most underserved and

disadvantaged communities.

SELECT PUBLICATIONS

Hunt BR, Kanoon J, Allgood K, Benjamins MR. Keys to the Successful Implementation of Community- based Outreach and Navigation: Lessons from a Breast Health Navigation Program. Journal of Cancer Education 2015; September (E-pub). DOI 10.1007/s13187-015-0904-2.

Gutierrez Kapheim M, Ramsay J, Schwindt T, Hunt BR, Margellos-Anast H. Utilizing the Community Health

Worker Model to communicate strategies for asthma self-management and self-advocacy among

public housing residents. Journal of Communication in Healthcare 2015; July 8(2);95-105.

Gutierrez Kapheim M and Campbell J. Best Practice Guidelines for Implementing and Evaluating

Community Health Worker Programs in Health Care Settings. Chicago, IL: Sinai Urban Health

Institute, January 2014.

Margellos-Anast H, Gutierrez M, Whitman S. Improving Asthma Management among African-American

Children via a Community Health Worker Model: Findings from a Chicago-Based Pilot

Intervention. Journal of Asthma 2012; May 49(4): 380–389.

PROGRAM HIGHLIGHTS

For over 12 years, SUHI has been designing and

implementing innovative, cost-effective CHW

programming in some of Chicago’s most

underserved communities

CHWs trained through SUHI provide personalized,

evidence-based support in the realm of general

system navigation, asthma management, diabetes

control, breast health, and HIV/STDs

Our interventions using CHWs have led to 50-75%

declines in asthma-related emergency department

(ED) visits and hospitalizations

Results also include statistically and clinically

significant improvements in asthma-related quality

of life

SINAI URBAN HEALTH INSTITUTE

Community Health Worker Model

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SINAI URBAN HEALTH INSTITUTE

Diabetes

BACKGROUND

Like many chronic conditions, diabetes is influenced by genetic, social, and environmental factors

and is most common in poor and minority communities. The West Side of Chicago has consistently

shown some of the highest rates of diabetes in the city, making it an area ripe for the

implementation of creative interventions focused on leveraging local resources to support change

and improved self-management practices.

SUHI’S DIABETES WORK

In 2009, SUHI was awarded a highly-

competitive grant by the National Institutes of

Health to increase community knowledge and

understanding of diabetes risk factors and

ways to prevent disease onset in North

Lawndale. Since then, SUHI’s work has

expanded to include other Chicago

communities, including Humboldt Park and

South Lawndale. These efforts are focused on

improving health-related knowledge, access to

care, and better diabetes self-management

practices. Community health educators,

named “Diabetes Block Captains,” conduct

household screenings for diabetes and

promote self-management techniques for diabetic individuals and those at risk for the disease. A

five-year partnership with Blue Cross Blue Shield (BCBS) of Illinois has enabled this unique,

LEARN MORE

Email: [email protected]

Websites: www.suhichicago.org | www.sinai.org

SUHI’S DIABETES PROGRAMS

Lawndale Diabetes Project: A Community-Based Collaboration between Mount Sinai Hospital and Blue Cross and Blue Shield of Illinois (2011 — present)

Humboldt Park Diabetes Task Force (2006 — present)

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SINAI URBAN HEALTH INSTITUTE

Diabetes

Sinai Urban Health Institute (SUHI) is a unique, nationally-recognized research center on

the West Side of Chicago. The community-focused research and interventions at SUHI are

concentrated on matters of health equity, using rigorous, evidence-based approaches to

understand and address health disparities in some of Chicago’s most underserved and

disadvantaged communities. SUHI is a proud member of Sinai Health System.

PROGRAM HIGHLIGHTS

During the initial visits for the Lawndale Diabetes Project (LDP), 2,160 persons from both North

and South Lawndale were surveyed; 21% self-identified as diabetic, and 24% were classified as

high risk. Both rates are well above national levels.

After participating in the LDP intervention, individuals with diabetes showed a significant

decrease in HbA1c levels. For example, 45% of participants saw a clinically meaningful

improvement (decrease >0.5%) in HbA1c levels between baseline and follow-up.

Over the course of the two-phase intervention, other related outcomes also improved. In LDP

phase 1, levels of diabetes knowledge, mental health, and consistent medication use increased.

In LDP phase 2, self-management activities such as foot care and exercise significantly improved.

CURRENT FUNDERS

Blue Cross and Blue Shield of Illinois

Northwestern University

SELECT PUBLICATIONS Hunt B, Whitman S, Henry C. Age-Adjusted Diabetes Mortality Rates Vary in Local Communities in

a Metropolitan Area: Racial and Spatial Disparities and Correlates. Diabetes Care. 2014

May;37(5):1279-86.

Rosenstock S, Whitman S, West JF, Balkin M. Racial Disparities in Diabetes Mortality in the 50 Most

Populous US Cities. Journal of Urban Health. 2014 Oct; 91(5): 873-85.

West JF. To Fight Bad Suga’, or Diabetes, My Neighborhood Needs More Health Educators. Health

Affairs. 2013 Jan;32(1):184-7.

West JF. Public Health Program Planning Logic Model for Community Engaged Type 2 Diabetes

Management and Prevention. Evaluation and Program Planning. 2014;42(0):43-49.

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SINAI URBAN HEALTH INSTITUTE

Evaluation BACKGROUND

Program evaluation is an essential methodological tool that provides stakeholders with the data

and insights necessary to measure program effectiveness. The ability to empirically assess the

impact of a program is paramount to ensuring program objectives are reached and sustained. SUHI

has the applied experience needed to answer this vital question: “Is our program working?”

SUHI’S WORK

Since 2004, the SUHI evaluation team, including epidemiologists and research assistants, has

designed and implemented rigorous, data-driven methodologies and metrics to assess the

relationship between program processes and outcomes. Additionally, the team provides evaluation

capacity building and technical assistance for a variety of community-based programs

implementing health interventions throughout Chicago.

SUHI’S EVALUATION PROGRAMS

Evaluation Capacity Building Project funded by The Chicago Community Trust (2010-present)

Sinai Community Institute Evaluation Collaborative funded by the Michael Reese Health Trust (2011-present)

Evaluation of ACCESS Westside Healthy Start and Stand Against Cancer Programs (2004-2012)

PROGRAM HIGHLIGHTS

Evaluators for the Chicago Community Trust project have provided evaluation capacity-building

to nearly 30 community-based organizations over the course of 5 years.

By the end of the most recent capacity building grant cycle, community partners reported

increased confidence in creating a program evaluation plan, drafting surveys for data collection,

and using evaluation results to improve programming.

Evaluators for SCI have conducted several full-scale program evaluations while expanding

internal monitoring and evaluation capacity.

Sinai Urban Health Institute (SUHI) is a unique, nationally-recognized research center on

the West Side of Chicago. The community-focused research and interventions at SUHI are

concentrated on matters of health equity, using rigorous, evidence-based approaches to

understand and address health disparities in some of Chicago’s most underserved and

disadvantaged communities. SUHI is a proud member of Sinai Health System.

LEARN MORE

Email: [email protected]

Websites: www.suhichicago.org | www.sinai.org

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BACKGROUND

A growing body of research has documented large and increasing health disparities in both the US

and Chicago. Since its inception in 2000, Sinai Urban Health Institute (SUHI) has served as a leading

urban health research institute for eliminating health disparities and working towards health equity

in the city of Chicago. To do this, we conduct epidemiological studies to document disparities and to

understand their determinants. Then, we use this information to guide community-based health

interventions in the disadvantaged communities that we serve.

SUHI’S WORK

SUHI's research in the field of health disparities has several focal points:

Documenting disparities in Chicago. First and foremost, we aim to understand disparities within the

city of Chicago. We do this by studying:

Racial disparities at the city-level. We examine differences in health outcomes between Whites,

Blacks, and Hispanics. Whenever possible, we separate the Hispanic group to study Mexicans

and Puerto Ricans separately, because our research has demonstrated important differences

between these and other subgroups.

Racial disparities across Chicago community areas. Chicago is comprised of 77 officially

designated community areas. The community areas tend to be racially homogenous with large

variations in income and other demographic characteristics observed across them. This type of

local-level data is important as it reveals health differences masked by city-wide averages. For

example, life expectancy differs by a staggering 15 years across these community areas.

Tracking racial disparities at the national level. National data provide a point of comparison for

assessing disparities in Chicago. Researchers at SUHI have published a series of four articles over

the past decade, tracking and comparing disparities in Chicago and the US to assess whether the

Healthy People goal of reducing and eventually eliminating health disparities is being met.

Comparing racial disparities across the largest US cities. Examining disparities in other large US

cities helps us to situate Chicago, as well as to understand the trend in disparities over time and

what factors might be contributing to disparities. Researchers at SUHI have published a series of

articles over the past decade, with a particular focus on cause-specific mortality rates.

LEARN MORE

Email: [email protected]

Websites: www.suhichicago.org | www.sinai.org

SINAI URBAN HEALTH INSTITUTE

Health Disparities

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SELECT PUBLICATIONS Documenting Racial Disparities in Chicago

Hunt BR, Tran G, Whitman S. Life Expectancy Varies in Local Communities in Chicago: Racial and Spatial

Disparities and Correlates. Journal of Racial and Ethnic Health Disparities. 2015, doi: 10.1007/s40615-015-

0089-8.

Hunt BR, Whitman S, Henry C. Age-Adjusted Diabetes Mortality Rates Vary in Local Communities in a

Metropolitan Area: Racial and Spatial Disparities and Correlates. Diabetes Care. 2014, doi: 10.2337/dc13-

0988.

Benjamins MR, Hirschman J, Hirschtick J, and Whitman S. Exploring Differences in Self-Rated Health among

Blacks, Whites, Mexicans, and Puerto Ricans. Ethnicity and Health. 2012; 17(5):463-76.

Hunt BR, Whitman S. Maternal Smoking in Chicago: A Community-Level Analysis. Journal of Health Care for the

Poor and Underserved. 2011 Feb; 22:194-210.

Shah AM, Guo L, Magee M, et al. Comparing Selected Measures of Health Outcomes and Health-Seeking

Behaviors in Chinese, Cambodian, and Vietnamese Communities of Chicago: Results from Local Health

Surveys. Journal of Urban Health. 2010 Sep; 87(5): 813-26.

Shah AM, Whitman S, Silva A. Variations in the Health Conditions of 6 Chicago Community Areas: A Case for

Local-Level Data. American Journal of Public Health. 2006; 96(8):1485-91.

Tracking Racial Disparities at the National Level

Hunt BR, Whitman S. Black:White Health Disparities in the United States and Chicago: 1990–2010. Journal of

Racial and Ethnic Health Disparities. 2015 2(1): 93-100.

Orsi JM, Margellos-Anast H, Whitman S. Black: White Health Disparities in the United States and Chicago: A 15-

Year Progress Analysis. American Journal of Public Health. 2010 Feb; 100(2): 349-56.

Comparing Racial Disparities Across the Largest US Cities

Hunt BR, Whitman S, Hurlbert M. Increasing Black:White disparities in breast cancer mortality in the 50 largest

cities in the United States. Cancer Epidemiology. 2014 April; 38(2): 118-123.

Rosenstock S, Whitman S, West JF, Balkin M. Racial Disparities in Diabetes Mortality in the 50 Most Populous US

Cities. Journal of Urban Health (2014), doi: 10.1007/s11524-013-9861-4.

SUHI’S WORK (CONTINUED)

Studying social determinants of racial disparities. To understand the pathways through

SINAI URBAN HEALTH INSTITUTE

Health Disparities

Sinai Urban Health Institute (SUHI) is a unique, nationally-recognized research center on

the West Side of Chicago. The community-focused research and interventions at SUHI are

concentrated on matters of health equity, using rigorous, evidence-based approaches to

understand and address health disparities in some of Chicago’s most underserved and

disadvantaged communities. SUHI is a proud member of Sinai Health System.

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Sinai Community Health Survey

BACKGROUND

First conducted in 2002, the Sinai Community Health Survey is

the largest door-to-door health survey ever implemented

in Chicago. The purpose of the Sinai Survey is to:

Document the health status of Chicago communities

Use findings to develop public health interventions and

policies to address health inequities

The second Sinai Survey was launched in October 2013 with generous funding from the Chicago

Community Trust. The data will provide information on approximately 2,000 adults and 1,000

children. The survey is done face-to-face within a randomly selected sample from 10 Chicago

community areas.

Data collection, carried out by the Survey Research Laboratory, is expected to be completed in

Summer 2016. The survey includes over 600 questions on child and adult health. The final survey

instrument was designed and approved in collaboration with a Community Advisory Committee.

Findings will be disseminated to both community and academic audiences and will be made

available to anyone working to improve health in Chicago.

COMMUNITIES SURVEYED

Chicago Lawn

Gage Park

Hermosa

Humboldt Park

Lower West Side

North Lawndale

Norwood Park

South Lawndale

West Englewood

West Town

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Sinai Community Health Survey

Diabetes

Obesity

School wellness

Smoking

FIRST SINAI COMMUNITY HEALTH SURVEY (2002)

RESULTING INTERVENTIONS AND GRANTS

Results from the initial Sinai Community Health Survey in 2002 led to the generation of nearly $20

million in funding and over 30 health programs to improve the health and well-being of

communities throughout Chicago. Sinai Urban Health Institute implemented interventions in

conjunction with community partners to address the following health topics and conditions:

Asthma

Breast health

The Sinai Survey has also been replicated in three Chicago communities, including the Jewish

Community on the North Side, the Chinese Community in Chinatown, and the Vietnamese and

Cambodian Community on the North Side.

REPORTS AND PUBLICATIONS

Findings from the first Sinai Survey have been widely circulated to

inform and inspire action to improve the health of the communities

involved. This includes:

28 peer-reviewed articles using survey data

21 reports on the survey findings

400+ presentations to diverse local and national audiences

Nearly 400 reports of the survey in popular media including print,

television, and radio

A book, “Urban Health: Combating Disparities with Local Data,”

describing the collective efforts of the survey and resulting

interventions

LEARN MORE

Email: [email protected]

Websites: www.suhichicago.org | www.sinai.org

Sinai Urban Health Institute (SUHI) is a unique, nationally-recognized research center on

the West Side of Chicago. The community-focused research and interventions at SUHI are

concentrated on matters of health equity, using rigorous, evidence-based approaches to

understand and address health disparities in some of Chicago’s most underserved and

disadvantaged communities. SUHI is a proud member of Sinai Health System.